TCYJE Parent, College Ambassador & Student Volunteer Registration
Parents/guardians, college ambassadors, and student volunteers are welcome to complete this form.
Applicant Information
Participant Category
*
College Ambassador
TCYJE Student
Parent/Guardian Volunteer
Other Student Volunteer
Legal Name
*
First Name
Middle Name
Last Name
Preferred Name
Name of your TCYJE student(s), if applicable
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
College, University, or School Name
*
Grade or Year
*
Major or Field of Study
Volunteer Email
*
example@example.com
Volunteer Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Middle Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Minor Guardian Information
Parent/Guardian Name
*
First Name
Middle Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Guardian Consent
*
I am the parent/guardian of the minor applicant and consent to their participation as a college ambassador and student volunteer.
Typed Guardian Signature
*
Volunteer Preferences and Availability
School-required service hours
Deadline for service hours
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Volunteering interests
*
jazz clinics
student mentorship
performances
event setup and breakdown
fundraising
social media/digital marketing
photography/media only if separately approved
instrument inventory/donations
administrative support
community outreach
other
Skills / instruments
Availability days and times
*
Accessibility accommodations
School Documentation and Uploads
Required school service documentation provided
*
Service-learning form
Teacher/advisor letter
School volunteer approval
Other
Upload related school documentation
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of
Applicant Acknowledgements and Signature
Acknowledgements
*
I understand volunteer hours must be approved and logged
I will not report any unapproved hours
I understand this is a volunteer role with no pay
I will follow TCYJE safety policies and code of conduct
I will not work unsupervised with minors unless required screening is complete and staff authorization is given
Typed Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Volunteer Hours Verification Request
Date of Service
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Event/Activity
*
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Break Duration (minutes)
Total Hours Claimed
*
Supervisor Name
*
First Name
Middle Name
Last Name
Description of Duties
*
School Verification Contact
*
Upload Supporting Document
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Volunteer Registration
Submit Volunteer Registration
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